person
Karin Misao Ide, ARNP
Pediatric Nurse Practitioner in Vancouver, Washington
NPI 1770508152

Karin Misao Ide is a Pediatric Nurse Practitioner based in Vancouver, WA and is specialized in Pediatrics. Karin Misao Ide practices in Vancouver, WA and has the professional credentials of ARNP. The NPI Number for Karin Misao Ide is 1770508152 and holds a License No. AP30006367 (Washington).

The current practice location address for Karin Misao Ide is 6100 Ne Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-891-7300.

Location: 6100 Ne Fourth Plain Blvd, Vancouver, WA, 98668-1588
person
Provider Profile Details
NPI Number
1770508152
Provider Name
Karin Misao Ide
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
6100 Ne Fourth Plain Blvd, Vancouver, WA, 98668-1588
Phone Number
360-891-7300
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9643560 05 WA
institution
Provider Business Practice Location Address Details
Address
6100 Ne Fourth Plain Blvd
City
State
Zip
98661-6830
Phone Number
360-891-7300
Fax Number
person
Provider Business Mailing Address Details
Address
6100 Ne Fourth Plain Blvd
City
State
Zip
98661-6830
Phone Number
360-891-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP30006367 (Washington)
Definition
Definition to come...
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